Elliot Dutton
Physician Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1164098570
StatusActive
Last updated in NPPESDec 5, 2022
Details
- NPI
- 1164098570
- Entity type
- Individual (NPI-1)
- Name
- Elliot Dutton
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2021
- Certification date
- Dec 5, 2022
- Last updated
- Dec 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 8344 | AZ | Yes |
| 207QA0505X | Family Medicine, Adult Medicine | 8344 | AZ |
Practice location
3501 W Osborn RdPhoenix, AZ 85019-4037
Phone 602-272-7676
Mailing address
3501 W Osborn RdPhoenix, AZ 85019-4037
Phone 480-251-6200
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